The U.S. Supreme Court ruling on the constitutionality of the Patient Protection and Affordable Care Act (PPACA) should make some states lean more toward getting exchange services from the federal government.

Analysts at the in-house government affairs and human and social services think tanks at KPMG L.L.P., Wilmington, Del., make that argument in a brief on the possible impact of the PPACA ruling.

Members of the court ruled 5-4 that Congress has the authority to impose a tax on residents who fail to buy health insurance.

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Allison Bell

Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.